Worker Interview - DSA

Worker Interview

General Information

Project Name: Davis (Northside) High School - HISD

Prime Contractor: Satterfield & Pontikes Construction, Inc

Subcontrctor: Dominion Controls

Interview Detail

Date

Worker Name

Auditor Name

Remarks

04/25/2019 02:24 PM

Julio Walter Godino

Jorje Munoz

None

ethnicity

gender

ssn

badge

Hispanic

Male

1165

No

Job Classification

Union Member?

Apprentice?

Period

HVAC Service Technician

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

01/01/2017

04/24/2019

4.00

30.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Thursday

Yes

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Drills

Hammer

Level

None

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

None

None

4.00

Forklift

Aware of Postings?

Threatened?

No

No

Signatures

Employee Signature

Auditor Signature